| NPI | 1699103614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004738A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28172272A) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2019-10-29 |